OBJECTIVE: The aims were to (1) evaluate the long-term durability of individual and group cognitive-behavioral family therapy for childhood obsessive-compulsive disorder and (2) investigate pretreatment predictors of long-term outcome. METHOD: Undertaken at a university-based clinic, this study involved 48 participants (8-19 years old) who had received individual or group cognitive-behavioral family therapy. Participants and parents were assessed at 12 and 18 months following treatment with standardized assessments, including diagnostic and symptom severity interviews, child self-report measures of anxiety and depression, and parental self-report of distress. Pretreatment data were used for the prediction of long-term outcome. RESULTS: Analyses indicated treatment gains were maintained, with a total of 70% of participants in individual therapy and 84% in group therapy diagnosis free at follow-up. There were no significant differences between the individual or group conditions across measures. Results indicated that higher pretreatment severity and higher family dysfunction predicted worse long-term outcome. CONCLUSIONS: The results suggest that cognitive-behavioral family therapy for obsessive-compulsive disorder provides long-term relief that it is equally effective in individual and group-based therapy. Focusing on family dysfunction may improve long-term prognosis.
OBJECTIVE: The aims were to (1) evaluate the long-term durability of individual and group cognitive-behavioral family therapy for childhood obsessive-compulsive disorder and (2) investigate pretreatment predictors of long-term outcome. METHOD: Undertaken at a university-based clinic, this study involved 48 participants (8-19 years old) who had received individual or group cognitive-behavioral family therapy. Participants and parents were assessed at 12 and 18 months following treatment with standardized assessments, including diagnostic and symptom severity interviews, child self-report measures of anxiety and depression, and parental self-report of distress. Pretreatment data were used for the prediction of long-term outcome. RESULTS: Analyses indicated treatment gains were maintained, with a total of 70% of participants in individual therapy and 84% in group therapy diagnosis free at follow-up. There were no significant differences between the individual or group conditions across measures. Results indicated that higher pretreatment severity and higher family dysfunction predicted worse long-term outcome. CONCLUSIONS: The results suggest that cognitive-behavioral family therapy for obsessive-compulsive disorder provides long-term relief that it is equally effective in individual and group-based therapy. Focusing on family dysfunction may improve long-term prognosis.
Authors: Fabian Lenhard; Sebastian Sauer; Erik Andersson; Kristoffer Nt Månsson; David Mataix-Cols; Christian Rück; Eva Serlachius Journal: Int J Methods Psychiatr Res Date: 2017-07-28 Impact factor: 4.035
Authors: Michelle Rozenman; Tara Peris; R Lindsey Bergman; Susanna Chang; Joseph O'Neill; James T McCracken; John Piacentini Journal: Child Psychiatry Hum Dev Date: 2017-02
Authors: Scott N Compton; Tara S Peris; Daniel Almirall; Boris Birmaher; Joel Sherrill; Phillip C Kendall; John S March; Elizabeth A Gosch; Golda S Ginsburg; Moira A Rynn; John C Piacentini; James T McCracken; Courtney P Keeton; Cynthia M Suveg; Sasha G Aschenbrand; Dara Sakolsky; Satish Iyengar; John T Walkup; Anne Marie Albano Journal: J Consult Clin Psychol Date: 2014-01-13
Authors: Marina Iniesta-Sepúlveda; Tíscar Rodríguez-Jiménez; Eli R Lebowitz; Wayne K Goodman; Eric A Storch Journal: Child Psychiatry Hum Dev Date: 2021-02